CPT 57106 Partial Vaginectomy Reimbursement | OpenPayer

Summary & Overview

CPT 57106: Partial Vaginectomy, Upper One-Third or Lower Two-Thirds

CPT code 57106 denotes a partial vaginectomy in which either the upper one third or the lower two thirds of the vagina is excised. This gynecologic surgical code captures a specialized operative procedure used for treatment of malignancy, severe tissue damage, or other structural pathology requiring removal of a segment of the vagina. Nationally, accurate coding for this procedure matters for surgical quality reporting, appropriate reimbursement, and consistent clinical documentation across hospital and ambulatory surgical settings.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical intent of the code, expected sites of service, and common billing modifiers associated with complex surgical care. The publication outlines typical documentation elements, potential charge-line considerations, and where 57106 fits within gynecologic surgical coding practice.

The report is intended to help billing staff, clinical coders, and compliance officers understand the clinical context and billing implications of CPT code 57106, identify common coding scenarios, and locate relevant reference points for payer adjudication and internal coding policies.

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Billing Code Overview

CPT code 57106 describes a surgical procedure in which the provider removes either the upper one third or the lower two thirds of the vagina. This procedure is a form of partial vaginectomy performed for therapeutic reasons related to gynecologic disease or injury.

Service type: Surgical gynecologic procedure
Typical site of service: Hospital operating room or ambulatory surgical center

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is a postmenopausal or perimenopausal woman presenting with symptomatic vaginal prolapse, vaginal vault prolapse after hysterectomy, severe vaginal shortening or scarring from prior surgery or radiation, or extensive vaginal neoplasia requiring partial vaginectomy. The patient undergoes preoperative evaluation including history, pelvic exam, pelvic imaging as indicated, anesthesia assessment, and informed consent. The procedure 57106 (removal of either the upper one third or the lower two thirds of the vagina) is performed in an operating room or ambulatory surgery center under general or regional anesthesia. The surgical team typically includes a gynecologic surgeon, anesthesia provider, circulating nurse, and scrub tech. Intraoperative steps include exposure, resection of the specified vaginal segment with hemostasis, reconstruction or closure of the vaginal cuff when indicated, and placement of drains or packing if required. Postoperative workflow includes recovery in PACU, pain control, infection prophylaxis, activity and wound care instructions, and follow-up visits to evaluate healing and pathology results when tissue is submitted.

Coding Specifications

Modifier	Description	When to Use
`51`	Multiple procedures	When additional unrelated CPT procedures are reported during the same operative session and multiple-procedure reduction rules apply.

CPT 57107: Partial Vaginectomy with Paravaginal Tissue Resection

CPT-57110-VAGINECTOMY-COMPLETE-VAGINAL-WALL-REMOVAL

CPT 57110: Complete Removal of Vaginal Wall

CPT-57111-VAGINECTOMY-WITH-PARAVAGINAL-TISSUE-REMOVAL

CPT 57111: Vaginectomy with Paravaginal Tissue Removal

CPT-57105-VAGINAL-LESION-BIOPSY-LARGE-LESION

CPT 57105: Evaluation and Biopsy of Large Vaginal Lesion

CPT-57100-VAGINAL-MUCOSAL-LESION-BIOPSY

CPT 57100: Biopsy of Lesion on Vaginal Mucosa

CPT-57130-VAGINAL-TISSUE-FLAP-REMOVAL

CPT 57130: Removal of Vaginal Tissue Flap

CPT-57135-VAGINAL-WALL-CYST-TUMOR-EXCISION

CPT 57135: Excision of Vaginal Wall Cyst or Tumor

CPT-57109-VAGINECTOMY-UPPER-HALF-WITH-PELVIC-LYMPHADENECTOMY

CPT 57109: Upper Vaginectomy with Pelvic and Para‑aortic Lymph Node Biopsy

CPT-57120-VAGINAL-CLOSURE-FOR-PROLAPSE

CPT 57120: Vaginal Closure for Vaginal Prolapse

Taxonomy Code	Specialty	Notes
`207V00000X`	Obstetrics & Gynecology	Most common specialty performing `57106`.
`207VP0000X`	Gynecologic Oncology	Performs for malignant or premalignant vaginal disease and complex resections.
`207VT0004X`	Female Pelvic Medicine & Reconstructive Surgery	Performs for pelvic organ prolapse and reconstruction involving vaginal resection.
`2080S0004X`	Surgery - General	May assist in complex pelvic resections in multidisciplinary cases.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N81.4`	Vaginal vault prolapse (post-hysterectomy)	Vaginal resection may be required for recurrent or complicated vault prolapse.
`N81.3`	Rectocele	Posterior vaginal wall defects can co-occur and may be addressed with resection or repair.
`N76.89`	Other specified inflammatory diseases of vagina	Severe chronic inflammatory disease or scarring may necessitate partial vaginectomy.
`C52`	Malignant neoplasm of vagina	Malignant lesions of the vagina may require partial vaginectomy for oncologic control.
`D07.3`	Carcinoma in situ of vagina	High-grade dysplasia or carcinoma in situ may be managed with excision of affected vaginal segments.

If no ICD-10 codes were provided in the input, the above codes are commonly associated with indications for partial vaginectomy.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`57425`	Colposcopy of the cervix including upper/adjacent vagina; with diagnostic excision (e.g., loop electrode)	May be performed preoperatively for diagnostic evaluation of vaginal or cervical lesions prior to partial vaginectomy.
`57260`	Vaginal repair, secondary (e.g., for repair of enterocele)	Performed when concomitant pelvic reconstructive repair is required following partial vaginectomy.
`57288`	Colporrhaphy, repair of rectocele; with or without perineorrhaphy	Can be performed concurrently when posterior vaginal wall defects are addressed during or after resection.
`58340`	Removal of intrauterine device, simple; with dilation and curettage if needed	Not directly related but may be performed in the same operative session if indicated.
`58150`	Total abdominal hysterectomy, with or without removal of tube(s), with or without removal of ovary(s)	May be performed before or during pelvic surgeries when uterine pathology coexists with vaginal disease.

If no related CPT codes were provided in the input, the above codes are commonly associated with preoperative evaluation, concurrent repair, or related pelvic procedures in the clinical workflow surrounding 57106.

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